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Wisconsin rates for HCPCS 80159

Drug Assay Clozapine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.18 / $33.85 / $100.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $18.94 / $42.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.32 / $52.39 / $55.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.13 / $9.13 / $83.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.37 / $50.23 / $52.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.87 / $65.29 / $100.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.13 / $54.26 / $61.66
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $12.19 / $24.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $16.52 / $95.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.09 / $20.14 / $52.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.97 / $30.23 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $12.19 / $24.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.56 / $48.91 / $68.20
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.29 / $40.29 / $95.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $11.43
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.03 / $19.03 / $42.91
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.03 / $58.56 / $110.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.60 / $16.12 / $52.98